显微技术输卵管复通效果及影响因素探讨

EFFECT AND INFLUENCE FACTORS OF MICROSURGICAL FALLOPIAN TUBE ANASTOMOSIS

目的：探讨用显微外科技术进行输卵管复通术的效果及影响因素。方法：对用显微外科技术施行输卵管复通术１５年共７６８例进行长期随访研究，并对复通患者的年龄、绝育期限、输卵管长度、不同术者等影响复通手术效果的因素进行分析。结果：术后２年以上的随访率８９．８％，复孕率８４．７％，宫内流产率１１．４％，宫外孕率１．７７％。结论：上述诸因素中以输卵管长度与显微外科技术最为重要。

Objective: To determine the consequence and influence factors of reversal of fallopian tube sterilization using microsurgical techniques. Methods: Preformed a longterm visited research into total 768 women who had laparotomic microsurgical fallopian tube anastomosis after sterilization during fifteen years, and analyze the influence factors such as the age of patient, years after sterilization, length of fallopian tube and different operation performers. Result: Cases≥2 years after microsurgical anastomosis with visted rate 899%, pregnancy rate 847%, introuterine pregnancy rate 114%(58/509), ectopic pregnancy rate 177%(9/509). Conclusion: The analysis suggest the length of fallopian and the experience of performer are significant effect factors.